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[外周医院的神经外科门诊脑死亡诊断]

[Neurosurgical ambulatory brain death diagnosis in peripheral hospitals].

作者信息

von Tempelhoff W

机构信息

Neurochirurgischen Klinik, Universität Düsseldorf, BRD.

出版信息

Wien Med Wochenschr. 1990;140(23-24):576-8.

PMID:2085015
Abstract

For 2 years at the University of Düsseldorf, outpatient diagnosis of brain death has been practised by the Department of Neurosurgery and the Section of Nephrology of the Department of Internal Medicine upon the suggestion of the "Kuratorium Heimdialyse und Organspende." The set-up and diagnostic procedures of the medical-neurosurgical investigation team are based on the Recommendations of the Scientific Commission of the Federal Medical Council (FMC) "Criteria of Brain Death" in its 1986 revision. The institution of a "transplantation duty rota" ensures rapid deployment of a neurosurgeon and an internist in the peripheral hospital. The neurosurgeon on call can be contacted by a Euro-bleeper. The Kuratorium Heimdialyse also provided a transportable EEG recorder. First experiences have shown that by interdisciplinary cooperation with colleagues in the peripheral hospitals, misconceptions were avoided in the outpatient diagnosis of brain death which previously had repeatedly thwarted organ-donation in cases of attempted suicide, head injury, and resuscitation.

摘要

在“血液透析与器官捐献委员会”的建议下,杜塞尔多夫大学的神经外科和内科肾脏科开展门诊脑死亡诊断工作已达两年。医学 - 神经外科调查小组的组建和诊断程序基于联邦医学委员会科学委员会1986年修订版的《脑死亡标准》建议。“移植值班轮值制度”确保了在外围医院能迅速调配神经外科医生和内科医生。随叫随到的神经外科医生可通过欧洲寻呼机联系。血液透析与器官捐献委员会还提供了一台便携式脑电图记录仪。初步经验表明,通过与外围医院的同事进行跨学科合作,避免了在门诊脑死亡诊断中出现误解,而这种误解此前在自杀未遂、头部受伤和复苏病例中曾多次阻碍器官捐献。

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